Pain managementPub Date : 2025-10-01DOI: 10.1080/17581869.2025.2567836
Huan-Ji Dong, Anna Wahl, Maria Henström Engblom, Marie Löf, Lucy Kocanda, Katherine Brain
{"title":"Nutrition care in pain rehabilitation-success and lessons from practice.","authors":"Huan-Ji Dong, Anna Wahl, Maria Henström Engblom, Marie Löf, Lucy Kocanda, Katherine Brain","doi":"10.1080/17581869.2025.2567836","DOIUrl":"https://doi.org/10.1080/17581869.2025.2567836","url":null,"abstract":"<p><p>Clinical data reveals that people living with chronic pain often report suboptimal nutrition and eating behaviors. Nutrition may significantly affect the occurrence, development, and prognosis of chronic pain. The International Association for the Study of Pain (IASP) encourages clinicians to include nutrition care in pain management. A potential approach is to integrate nutrition care into interdisciplinary pain rehabilitation, alongside routine lifestyle interventions such as physical activity, sleep habits, and stress management. This discussion paper explores the practical implementation of nutrition care in tertiary pain rehabilitation settings, highlighting key adaptations, challenges, and successful strategies drawn from clinical experience. These reflections on adapting practical tips in day-to-day practice may help strengthen the integration of nutrition care in pain rehabilitation and inspire new investigations in this field.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145200474","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2025-10-01Epub Date: 2025-07-18DOI: 10.1080/17581869.2025.2535270
Özge Özpolat Bulut, Mevlüt Özmen, Faisal Al Ali, Ismael Shaukat, Fatih Bağcıer
{"title":"Academic and societal impact of cancer pain research: a bibliometric and Altmetric Analysis.","authors":"Özge Özpolat Bulut, Mevlüt Özmen, Faisal Al Ali, Ismael Shaukat, Fatih Bağcıer","doi":"10.1080/17581869.2025.2535270","DOIUrl":"10.1080/17581869.2025.2535270","url":null,"abstract":"<p><strong>Background: </strong>Cancer-related pain affects quality of life despite advancements in management. Bibliometric and altmetric analyses provide insights into the academic and societal impact of research.</p><p><strong>Objective: </strong>This study analyzed the top 100 most-cited articles on cancer-related pain using bibliometric and altmetric indicators, exploring correlations between altmetric scores, citations per year, and total citations.</p><p><strong>Methods: </strong>A search of the Web of Science Core Collection database was conducted on 2 November 2024, to identify articles related to cancer pain published between 1975 and 2024. The top 100 most-cited articles were selected based on total citation counts. Only English-language articles with full-text access were included. Bibliometric data were collected. Altmetric scores were retrieved using the Altmetric Explorer platform, and correlations were assessed using Spearman's test.</p><p><strong>Results: </strong>The 100 most-cited articles appeared in 35 journals, with PAIN contributing the most (<i>n</i> = 19). Total citations and citations per year showed a strong correlation (<i>r</i> = 0.64), but the correlation between altmetric scores and total citations was weak (<i>r</i> = 0.18).</p><p><strong>Conclusion: </strong>This study highlights the academic and societal impact of cancer pain research. The weak correlation between citations and altmetric scores suggests a need for better dissemination strategies to enhance public engagement.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"693-702"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144659872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2025-10-01Epub Date: 2025-08-08DOI: 10.1080/17581869.2025.2535271
Michael J Iadarola, Matthew R Sapio, Alexis Nahama, Andrew J Mannes
{"title":"Intraarticular resiniferatoxin, a potent TRPV1 agonist, for treatment of osteoarthritic pain.","authors":"Michael J Iadarola, Matthew R Sapio, Alexis Nahama, Andrew J Mannes","doi":"10.1080/17581869.2025.2535271","DOIUrl":"10.1080/17581869.2025.2535271","url":null,"abstract":"<p><p>Clinical investigations of resiniferatoxin (RTX) analgesia are currently ongoing for several human pain indications. RTX is an agonist of the TRPV1 receptor cation ion channel which is activated by capsaicin, heat, and inflammatory conditions. RTX injection at peripheral sites of pain generation will produce a chemo-inactivation of local nerve terminals and axons and block the transmission of nociceptive signals to spinal cord. Clinical human studies with RTX to treat osteoarthritis (OA) pain were preceded by extensive animal and cell system testing which revealed mechanisms of action, range of potentially treatable pain problems, and the safety and efficacy of this interventional analgesic agent. The present review concentrates on RTX, but also examines intraarticular (IA) capsaicin, a lower potency TRPV1 agonist, for the same indication. We review studies of RTX in human patients and canine veterinary subjects with OA pain. To date, results of several phase I clinical trials have only been reported in abstract form and these studies, despite their preliminary nature, will be examined herein. The present assessments indicate that RTX has strong therapeutic promise to be an innovative approach to medical management of pain relief in osteoarthritis and may be permissive to beneficial tissue remodeling.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"659-670"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144799912","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2025-10-01Epub Date: 2025-08-11DOI: 10.1080/17581869.2025.2544511
Philip M Finch, Leanne M Price, Toby J F Price, Michael J Kent, Peter D Drummond
{"title":"Opioid reduction in patients with chronic non-cancer pain undergoing treatment with medicinal cannabis.","authors":"Philip M Finch, Leanne M Price, Toby J F Price, Michael J Kent, Peter D Drummond","doi":"10.1080/17581869.2025.2544511","DOIUrl":"10.1080/17581869.2025.2544511","url":null,"abstract":"<p><strong>Introduction: </strong>Opioid sparing by co-prescription of cannabinoids may enable patients to reduce their opioid consumption prescribed for chronic benign pain.</p><p><strong>Methods: </strong>One cohort attending a small private pain clinic (<i>N</i> = 102), already taking opioids, was co-prescribed cannabinoids and another cohort (<i>N</i> = 53) attending a separate pain clinic nearby received only opioids. The two groups were studied prospectively for a year before their drug consumption was assessed.</p><p><strong>Results: </strong>At baseline, median opioid consumption was 40 mg/day in both cohorts. Medicinal cannabis was administered daily in an oil formulation usually starting at 2.5 mg/day and was titrated to maximize benefits. At 12 months, the median dose contained 15 mg delta-9-tetrahydrocannabinol and 15 mg cannabidiol. At one-year follow-up, 46 of 102 cases had dropped out compared with only one of 53 controls. Opioid consumption had decreased significantly at one-year follow-up, the final median dose being lower in cases (2.7 mg/day) than controls (42.3 mg/day) (<i>p</i> < 0.05 in an intention-to-treat analysis). Disability and insomnia had also decreased in cases.</p><p><strong>Conclusion: </strong>The introduction of cannabinoids can produce useful reductions in opioid consumption in real-world settings, with additional benefits for disability and insomnia. However, this treatment is tolerated by only a subgroup of patients.</p><p><strong>Clinical audit registration: </strong>https://www.anzctr.org.au/ identifier is ACTRN12621000875808.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"703-711"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144817344","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2025-10-01Epub Date: 2025-08-21DOI: 10.1080/17581869.2025.2550931
Oreste Marsico, Marta Lioi, Michele Trimboli
{"title":"Late response to anti-CGRP therapy for migraine.","authors":"Oreste Marsico, Marta Lioi, Michele Trimboli","doi":"10.1080/17581869.2025.2550931","DOIUrl":"10.1080/17581869.2025.2550931","url":null,"abstract":"<p><p>Migraine is a debilitating neurological disorder affecting 1 billion people worldwide. Traditional preventive drugs showed low efficacy and poor tolerability. Monoclonal antibodies against calcitonin gene-related peptide (CGRP) or its receptors offer a new efficacious and safe therapeutic option for migraine patients. According to randomized controlled trials, these disease-specific drugs reduce migraine frequency by ≥ 50% within 3 months. However, real-world studies show that some patients require a longer treatment duration (6 or 12 months). This narrative review aimed to investigate the occurrence of late and ultra-late responses to anti-CGRP therapy, exploring their potential mechanisms and clinical significance. A literature search was performed [PubMed, Web of Science and Google Scholar; publications up to July 2025] to identify relevant studies for this narrative review. Across 10 real-world studies, a proportion of patients who did not respond at 3 months achieved a meaningful clinical response at later time points: some between 3 and 6 months (\"late responders\") and others between 6 and 12 months (\"ultra-late responders\"). Around one-third of initial non-responders improved by 6 months, and among those who remained non-responsive at that point, a further proportion benefited by 12 months. The pathophysiological mechanism behind late response is a field of investigation, and the interaction of anti-CGRPs on the process of central desensitization seems to be crucial. Our review underscores the need to extend treatment beyond the typical 3-month period to attain meaningful benefits from anti-CGRP therapies.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"745-751"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964701","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2025-10-01Epub Date: 2025-07-22DOI: 10.1080/17581869.2025.2535272
Cristiano Carvalho, Patricia Gabrielli Vassão, Thatiane Izabele Ribeiro Santos, Alice Torres Pontes, Julia Ghraziely Justino de Oliveira, Catharina Marabiza Pinheiro, Maria Eduarda de Sousa Kawabe, Bruna Genari Sena, Carlos Eduardo Pinfildi, Victor Zuniga Dourado, Ricardo Luís Fernandes Guerra, Mariana Arias Avila Vera, Ana Claudia Muniz Renno
{"title":"Combined aerobic exercise and photobiomodulation for pain and other symptoms in fibromyalgia: study protocol.","authors":"Cristiano Carvalho, Patricia Gabrielli Vassão, Thatiane Izabele Ribeiro Santos, Alice Torres Pontes, Julia Ghraziely Justino de Oliveira, Catharina Marabiza Pinheiro, Maria Eduarda de Sousa Kawabe, Bruna Genari Sena, Carlos Eduardo Pinfildi, Victor Zuniga Dourado, Ricardo Luís Fernandes Guerra, Mariana Arias Avila Vera, Ana Claudia Muniz Renno","doi":"10.1080/17581869.2025.2535272","DOIUrl":"10.1080/17581869.2025.2535272","url":null,"abstract":"<p><strong>Trial registration: </strong>RBR-3pxmycv. This study protocol was registered in ensaiosclinicos.gov.br (Brazilian Registry of Clinical Trials), published on 19 December 2023, https://ensaiosclinicos.gov.br/rg/RBR-3pxmycv.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"637-649"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144691195","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2025-10-01Epub Date: 2025-09-03DOI: 10.1080/17581869.2025.2549238
Mark I Johnson
{"title":"Delayed adverse skin reaction to transcutaneous electrical nerve stimulation (TENS) electrodes.","authors":"Mark I Johnson","doi":"10.1080/17581869.2025.2549238","DOIUrl":"10.1080/17581869.2025.2549238","url":null,"abstract":"<p><p>A 76-year-old woman developed a delayed allergic reaction to adhesive pads following home use of transcutaneous electrical nerve stimulation (TENS) for pain management after a complex elbow dislocation. This case highlights the potential for delayed hypersensitivity reactions to TENS electrode pads. Although formal allergology testing was not performed, the woman's self-directed observations offered valuable insight. The clinical presentation and timing of symptom onset were more consistent with allergic rather than irritant contact dermatitis. Allergic contact dermatitis from TENS pads is often linked to specific allergens in the adhesive materials. Hypoallergenic alternatives aim to reduce this risk by eliminating or substituting known sensitizers. Interestingly, the reaction on the painful arm - where titanium plates had been surgically implanted - extended beyond the electrode placement, whereas on the unaffected, pain-free leg, it remained localized. This suggests that local tissue conditions may modulate the immune response. This case demonstrates the importance of clinician awareness regarding potential dermatological adverse events associated with TENS therapy and emphasizes the need for patient education, particularly when TENS is administered independently. Further investigation into the interaction between local inflammatory states and immune reactivity may inform safer electrode design and guide clinical recommendations for safe TENS use.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"671-676"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144964681","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2025-10-01Epub Date: 2025-07-26DOI: 10.1080/17581869.2025.2539065
Leo Druart, Parker Lay, Charlotte Blease, Nicolas Pinsault, Cosima Locher, Grayson L Baird, Michael H Bernstein
{"title":"Open-label placebos for low back pain: unresolved challenges and next steps.","authors":"Leo Druart, Parker Lay, Charlotte Blease, Nicolas Pinsault, Cosima Locher, Grayson L Baird, Michael H Bernstein","doi":"10.1080/17581869.2025.2539065","DOIUrl":"10.1080/17581869.2025.2539065","url":null,"abstract":"","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"629-632"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144754028","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2025-10-01Epub Date: 2025-08-06DOI: 10.1080/17581869.2025.2542719
Yann Gricourt, Philippe Cuvillon, Patrice Forget
{"title":"Opioid-free anaesthesia as a valuable alternative to opioid-based practices: evidence and future challenges.","authors":"Yann Gricourt, Philippe Cuvillon, Patrice Forget","doi":"10.1080/17581869.2025.2542719","DOIUrl":"10.1080/17581869.2025.2542719","url":null,"abstract":"<p><p>Opioid-Free-Anesthesia (OFA) offers a valuable alternative model that challenges traditional opioid-based anesthesia practices. Recent studies have tempered expectations regarding the capacity of OFA techniques to improve quality of postoperative pain management and early recovery, in contrast with the clearly decreased risk of postoperative nausea and vomiting. Essentially based on regional anesthesia, non-opioid adjuvants and multimodal analgesia, OFA should be better viewed as a menu rather than a recipe, guided by surgical invasiveness, patient background, expected postoperative pain, and the practitioner's expertise. Potential concerns of OFA, including bradycardia and hypotension, are manageable with proper training and adapted dosing. Further multicentre trials and non-inferiority studies are needed to better define OFA's impact on patient-reported outcome and experiences measures in perioperative care.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"721-731"},"PeriodicalIF":1.5,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144795068","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pain managementPub Date : 2025-09-30DOI: 10.1080/17581869.2025.2567832
Jie Liu, Li Li, Lan Luo, Na Wu, Fang Xu, Chengkun Tao, Jie Chen, He Huang, Guangyou Duan
{"title":"Effect of coenzyme Q10 on pain prevention after thoracoscopic surgery: study protocol.","authors":"Jie Liu, Li Li, Lan Luo, Na Wu, Fang Xu, Chengkun Tao, Jie Chen, He Huang, Guangyou Duan","doi":"10.1080/17581869.2025.2567832","DOIUrl":"https://doi.org/10.1080/17581869.2025.2567832","url":null,"abstract":"<p><strong>Clinicaltrial registration: </strong>www.clinicaltrials.gov identifier is NCT06743802.</p>","PeriodicalId":20000,"journal":{"name":"Pain management","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145192288","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}